Individual
JAIME MAURICIO HERRERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OBHCMS
Contact information
Practice address
22790 SW 112TH AVE, MIAMI, FL 33170-7602
(305) 235-2616
Mailing address
22790 SW 112TH AVE, MIAMI, FL 33170-7602
(305) 235-2616
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
CBHCMS.0102663
FL
Other
Enumeration date
04/30/2024
Last updated
04/30/2024
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